KSOA Mentee Interest Form
This form is intended to gather information  for anyone new(er) to the profession who desires guidance, feedback, answers to questions, etc. as they begin their officiating journey.
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Email *
First Name *
Last Name *
Phone Number *
How long have you officiated basketball? *
If you have officiated basketball in the past, what levels have you worked? Mark all that apply.

What are your goals for the partnership? What do you hope to accomplish as a result of the partnership?.

*

If you are seeking to be mentored, to what level of officiating do you aspire? Mark all that apply.

*
Required

In order to pair you with a compatible mentor, how do you respond best to feedback in your personal and/or professional life?

*
Required

Is there anything else you would like for KSOA to know when reviewing this submission?

A copy of your responses will be emailed to the address you provided.
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